Should we address the course as well as the origin of a translocated anomalous coronary artery?
The identification of an anomalous left coronary artery arising from the pulmonary artery demands urgent surgical attention. Myocardial infarction and ongoing myocardial ischemia are a direct consequence with subsequent left ventricular dysfunction. A modification using a combination of autogenous aortic and pulmonary artery flaps is described, which addresses both the origin and the course of the anomalous coronary artery--until now, a feature not generally considered necessary of repairs involving anomalous left coronary artery arising from the left facing pulmonary sinus.
Black
M D
MD
Division of Cardiovascular Surgery, The Hospital for Sick Children and The University of Toronto, Ontario, Canada. michael.black@mailhub.sickkids.on.ca
McCrindle
B W
BW
Freedom
R M
RM
D003330:Coronary Vessel Anomalies / Q000601:surgery*; D006801:Humans; D007223:Infant; D008722:Methods; D011651:Pulmonary Artery / Q000002:abnormalities; D013524:Surgical Flaps